In exchange for assigning my right to create these VEECs I will receive a monetary payment from the Agent:

VEEC Assignment Form

Part A - Application Form

The creation of VEECs requires evidence that the system has been decommissioned and removed from the premises wherever practical. This can be fulfilled by the following:

• A photo of the old system which clearly shows it cannot be used anymore, e.g. it has a largehole in it and has the make, model and serial number written on the back or clearly in the photoor,

• A Declaration of Decommission (Part B of this document) has been fully completed.

Application Form Please return completed application forms to Quantum via one of the following:

Be sure to keep a copy for your records • Email: rebates@quantumenergy.com.au • Post: 22 Rosebery Avenue Rosebery NSW 2018

Mandatory Declaration I hereby declare that:

• I am the owner of the residence at the above installation address.• Where a replacement has occurred, the replaced heating system has been removed from the

premises.• The information provided by the installer in 6-8 is correct and complete.• I understand that by signing this form I am assigning the right to create VEECs for the system to

Quantum Energy Technologies Pty Ltd.• The Essential Services Commission has the right to inspect the installed system with reasonable

notice.• I understand that information on this form will be disclosed to the Essential Services

Commission for the purpose of creating VEECs under the Victorian Energy Efficiency Target Act 2007 and for related verification, audit and scheme monitoring purposes.

• I am aware that penalties can be applied for providing misleading information in this form under the Victorian Energy Efficiency Target Act 2007.

Direct Deposit to below account details (amount to be confirmed)

Bank details for direct payment

Bank Name:

BSB:

Account number:

Account name:

Consumer Signature: Date:

(Return to Quantum Energy Technologies Pty Ltd)

VEEC Assignment Form

Part A - Mandatory Form Fields

Owner Details

First Name Surname

Postal Address

City State Postcode

Telephone

Fax

Mobile

Email

Date of Installation (DD/MM/YYYY) ____

System Brand Quantum Energy

System Model eg. 200-08AC6-290 _

Serial Number eg. SUZ012345

Size of Tank Litres

Compliance Certificate Number (copy of Compliance Certificate must be attached)

Certificate of Electrical Safety Number

Have you received a compliance certificate for the work? Yes No

Have you received a certificate of electrical safety for the work? Yes No

Have you taken a photograph of the decommissioned tank? Yes No

Solar Hot Water System Details

1

3

2

To be completed by Consumer

VEEC Assignment Form

Part A - Mandatory Form Fields4 VEEC ELIGIBILITY – Number of VEECs this system is entitled to:

I understand that this system is eligible for the following number of VEEC’s

To calculate the number of VEECs your system is eligible for, please refer to the VEEC Calculator: https://www.veet.vic.gov.au/Public/Calculator/VEECCalculator.aspx

Important Information: • Accredited persons must ensure that the number of VEECs created for a prescribed activity

is correct and in accordance with the requirements of the Victorian Energy Efficiency Target Regulations 2008 (the Regulations).

• The ESC has prepared the VEEC Calculator to assist you, but you should not rely on this calculator to discharge your legal responsibilities.

• The ESC does not guarantee the accuracy of the calculator. It is up to you to verify the accuracy of your submission.

5 Installer Details

To be completed by Installer

First Name Surname

Company Company Name ABN

Postal Address

City State Postcode

Contact Numbers Telephone Fax

Mobile

Email

Plumbing License Number

Electrician License Number

6 Decommissioning Activity Conducted

1C - Decommissioning electric and installing electric boosted solar

VEEC Assignment Form

Part A - Mandatory Form Fields7 Installer Declaration

I hereby declare that:

• I am licensed to undertake the installation of the system.• The system has been installed in residential premises.• The replaced system has been removed from the residential premises and will be

decommissioned (where installation does not involve a pre-heater or retrofit).• A photograph was taken of the decommissioned tank (preferably with 2 holes drilled into

the tank• The installation meets all laws, standards, building codes and local council requirements.• The information provided is complete and accurate and that I am aware that penalties

can be applied for providing misleading information in this form under the Victorian Energy Efficiency Target Act 2007.

Installer Signature: Date:

VEEC Assignment Form

Part B - Declaration of Decommission Consumer Details

First Name Surname

1

Decommissioned Hot Water System Details2

System Brand & Model (if legible):

Brand

Quantum Energy

Model

Serial Number (if legible):

Approximate Age:

System Type:

Decommissioning Details3

Method of Decommissioning:

Method of Removal (or reason if not removed):

Have you attached a photograph of decommissioned tank?

Yes

No (if no, please provide a reason below)

Signature: Date:

Installer Name:

(Return to Quantum Energy Technologies Pty Ltd)

VEEC Assignment Form

Part C - VEEC Guildlines

VEECs are managed by the Victorian Government Victorian Energy Efficiency Target under the Essential Services Commission.

For more information, please contact: Victorian Energy Efficiency Target Lvl 2, 35 Spring St, Melbourne VIC 3000 W https://www.veet.vic.gov.au/ T (03) 9651 4911 E veet@esc.vic.gov.au

To create Victorian Energy Efficiency Certificates (VEECs) • You must be the owner of the VEECs, either by having installed an eligible system at your

property, or by having the VEECs correctly assigned to you by the original owner of the VEECs.• You must have all the correct and signed documentation required to create VEECs.• You must create VEECs within 6 months of the end of the calendar year in which the system

was installed.

Guide for Creating VEECs for Quantum Heat Pump Systems This guide explains how to create Victorian Energy Efficiency Certificates (VEECs). In the context of solar water heaters (SWHs), the calculation of a VEEC is the abatement factor x regional factor. The abatement factor is determined by the product and the regional factor is determined by the postcode.

The Victorian Energy Efficiency Target (VEET) is a Victorian Government initiative promoted as the Energy Saver Incentive.

Mandatory introductory information Consumers in respect of whom a prescribed activity is undertaken can create Victorian energy efficiency certificates (VEECs) under the Victorian Energy Efficiency Target Act 2007. One VEEC represents one tonne of carbon dioxide equivalent (CO2-e) to be reduced by the prescribed activity undertaken by the consumer.

Consumers are able to assign their right to create VEECs to an accredited person. In assigning their right to an accredited person, the accredited person will be entitled to create and own the certificates in respect of the prescribed activity undertaken by the consumer. In return, the accredited person should provide consumers with an identifiable benefit for the assignation, such as a price reduction on a product, free installation or a cash-back arrangement. Consumers should be aware that it is their responsibility to negotiate satisfactory terms with the accredited person in return for assigning their right to create VEECs.